Diagnostic Strategy for Distant Recurrence of Intramuscular Hemangioma on the Chest Wall

Abstract

The distant recurrence of intramuscular hemangiomas, especially those involving the chest wall, is extremely rare. This study reports a case of multiple distant recurrences of intramuscular hemangioma in the chest wall after the complete surgical excision of two intramuscular hemangiomas in the upper extremities. A 37-year-old woman was referred to the authors’ hospital with two masses in the left breast detected incidentally on breast ultrasonography (US). US revealed an oval, circumscribed, hypoechoic mass and a complex cystic and solid mass. She had a history of a complete surgical resection of two intramuscular hemangiomas in her left forearm ten years earlier. Recognizing the recurrence risks and multiple intramuscular hemangiomas is critical for appropriate treatment and follow-up plans. This case emphasizes the significance of US findings in assisting clinicians in the early and accurate diagnosis of distant recurrence of multiple intramuscular hemangiomas occurring at unusual sites.

Keywords

• hemangioma
• soft tissue neoplasms
• recurrence
• ultrasonography